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Vermont rates for HCPCS 50957

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $575.44 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,445.44